• Title/Summary/Keyword: The Elderly in Home and Facilities

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Factors Affecting Housing Environment Satisfaction among Living in Apartments Areas Considering the Difference the Regional Elderly Population Ratio (지역 고령인구비율 차이를 고려한 아파트 거주 가구주의 주거환경만족도 영향요인)

  • Yun Hwan Kim;Hyosang Han
    • Journal of agricultural medicine and community health
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    • v.49 no.3
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    • pp.167-178
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    • 2024
  • Objective: The purpose of this study is to examine the factors influencing the satisfaction of the housing environment of householders living in apartments in the region according to the difference in the elderly population ratio. Methods: The analysis was conducted from the 2021 housing survey in Chungcheongbuk-do and Jeollanam-do region, where the elderly population ratio is the high and low regions. The subjects of the study consisted of 552 people in Chungcheongbuk-do and 616 people in Jeollanam-do, and analysis was performed with t-test and multiple regression. Results: In the Chungcheongbuk-do region(p<0.05), Ease access to commercial facilities, Ease access to medical facilities, Ease access to public institution, Ease access to cultural facilities, Ease access to city parks and green spaces, Ease access to public transportation, Level of air pollution, Relationship with neighbors, and Jeollanam-do region showed positive influences(p<0.05) in Waterproof condition, Safety from fire, Ease access to commercial facilities, Ease access to cultural facilities, Ease access to public transportation, Educational environment, Level of air pollution, Relationship with neighbors. There was a difference(p<0.05) between regions in Waterproof condition, Safety from fire, Ease access to medical facilities, Ease access to public institution, Ease access to city parks and green spaces, Educational environment. Conclusion: The factors influencing housing environment satisfaction according to the elderly population ratio by region were different. it is judged necessary to consider regional population groups when establishing and promoting city development and housing environment improvement project plans.

Terminal Care in Nursing Homes (일 지역 요양시설의 임종돌봄서비스)

  • Kim, Jung Hee;Mun, Kyung Sook;Shin, Bok Soon;Jang, Eun A
    • Journal of Home Health Care Nursing
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    • v.22 no.2
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    • pp.216-227
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    • 2015
  • Purpose: This study aimed at understanding terminal care provided in nursing homes. Method: An interview survey with staff in charge of terminal care was conducted in 97 nursing homes using questionnaires. The questionnaire was reviewed by 3 experts and pretested at 5 facilities. Data were analyzed using descriptive statistics, chi-square test, and Fisher's exact test. Result: Dyspnea was the most prevalent symptom predicting death. The most prevalent services were vital sign check for physical care, providing services by talking despite an unconscious state for psychosocial care, and respecting the faith of the elder for spiritual care. Employment of a registered nurse showed a significant difference in tube feeding (p=.035), analgesic administration (p=.022), informing the elder of end-of-life state (p=.020), helping an elderly person say good-byes through a visit with friends and acquaintances (p=.023), and helping express feelings related to death (p=.002). Lack of service was noticed for elderly resident, family, and staff after death of an elder. Problems related to terminal care were indifference of family members, difficulty in obtaining medical prescription, difficulty in predicting death, and so forth. Conclusion: Terminal care must be improved by making specific guidelines and it must become a part of nursing home evaluation.

A Study on the Knowledge Management System based on Job Standards of Social Worker in Elderly Care Facilities (노인요양시설의 사회복지사 직무 표준 기반의 지식관리 시스템에 관한 연구)

  • Lee, Tae-Hi;Park, Koo-Rack;Kim, Dong-Hyun
    • Journal of the Korea Convergence Society
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    • v.8 no.11
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    • pp.71-76
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    • 2017
  • Our society is showing rapid growth throughout the industry, but it is in the era of nuclear family and aging. Due to the elderly, the demand for social welfare services such as medical treatment services tends to increase sharply. However, duties of senior citizens and social workers engaged in related medical care facilities are not clearly identified, and job stress has occurred and the degree of job satisfaction is extremely low. Therefore, in this paper, in relation to the social worker's duties of elderly nursing home care facilities, in practicing welfare services, knowledge base that was convergence with duties so that you can focus on service according to better environment and standardized procedures To provide a management system. Through the proposed system, social workers are expected to be able to improve work satisfaction by quickly grasping operations and escaping from job stress through their own development and information sharing.

A Study on the development therapeutic environmental rating scales for the elderly people with dementia in nursing homes - Focused on the TESS-NH environmental rating scale Analysis (치매성 고령자를 위한 노인요양시설의 치료적 환경평가척도 개발에 관한 연구 - TESS-NH 환경평가척도 분석을 중심으로)

  • Lee, Young Chang
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.3
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    • pp.49-55
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    • 2014
  • Purpose: AIn recent years, the rapid progress of aging and the increase in the elderly people with dementia is becoming a big social issue. Therefore, this paper studies the development of therapeutic environmental rating scales for the elderly people with dementia in korean nursing homes. Methods: We identify the development process and structure of TESS-NH and understand the details of its nature and features. Then, based on the detailed items, we provide major scale factors which do influence on therapeutic environmental rating scales using PCA. Results: In the results, TESS, in the case of the initial stage of TESS-NH, has an advantage to evaluate on physical environments for a short period of time. TESS-2 + sets a large rage of activities of the elderly people with dementia, and tries to evaluate ongoing cares. TESS-NH has a complete set of well-thought-out assessment features for improving quality of care (Quality of Care) On the other hand, the main factors affecting the therapeutic environmental rating scales in nursing homes are "a consideration for facility management (Care for facilities' maintenance)", "a consideration for spatial cognition (Care for spatial cognition) ", and "a consideration for the safety (Care for safety)". Implications: In the future, to develop the therapeutic environmental rating scales on Korea's dementia nursing home, we should actively consider cares of spaces and facility utilization which the residents (the elderly people with dementia) are more secure and comfortable.

A Study on the Perceived Health Status, Activities of Daily Living, Depression for the Elderly at Nursing Homes

  • Lee, Suk-Hee;Koo, Ja-Pung;Wang, Jung-San;Kim, Hong-Rae;Bae, Young-Sook;Yim, Jae-Gil;Lee, Jung-Sook;Kim, Nyeon-Jun;Chung, Nak-Soo
    • Journal of International Academy of Physical Therapy Research
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    • v.1 no.1
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    • pp.26-31
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    • 2010
  • The purpose of this study was to investigate perceived health status, activities of daily living and depression of the elderly in nursing facilities and to identify correlations among them. The collected data is to improve healthy life for the aged people in communities. This study was performed by using of questionnaire which was consisted of perceived health status, activity of daily living(ADL) and depression. The survey was conducted by 180 aged people at nursing homes. The results of perceived health status show that 64.9% of elderly feel very bad or bad, 61.6% of elderly have a degree of independent level of activity of daily living(ADL) and 48.6% of elderly have a degree of depression. There were statically revealed meaningful correlation between ability of activity of daily living(ADL) and perceived health status, ability of activity of daily living(ADL) and depression. This study about connection among perceived health status, activity of daily living(ADL) and depression is necessary for number of the affiliation function of elderly at nursing homes and development of intervention programs concerned about depression are necessary.

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Psychological and Physiological Stress Improvement Effect of Gardening Program

  • Seung-hoon Hong;Hyukjae Lee
    • International Journal of Advanced Culture Technology
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    • v.12 no.3
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    • pp.225-236
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    • 2024
  • This study aimed to propose a gardening program that can be introduced in elderly care facilities and is effective by inducing active activities of the elderly, conducting a gardening program that can lead to healing functions and social activities, and identifying psychological and physiological changes before and after the gardening program is implemented. In order to achieve the above objectives, we conducted 30 gardening programs for 20 elderly people living at Chungju Senior Nursing Home from May 2023 to October of the same year to create three gardens. And as a result of evaluating the results of the gardening program, the psychological evaluation showed statistically improved results in most evaluation items, and the EEG improved to a statistically significant number as the gardening program was carried out in the measurement of mental and physical stress using EEG and pulse waves.

Case Study on Characteristics of the Bedroom Environment in Korean Nursing Homes

  • Kim, Dae-Nyun;Yoon, Young-Sun;Moon, Jae-Ho;Byun, Hea-Ryung;Chung, Mi-Ryum;Hong, Min-Jung
    • International Journal of Human Ecology
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    • v.8 no.2
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    • pp.29-46
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    • 2007
  • The purpose of this study was to analyze characteristics of the bedroom environment of nursing homes for the elderly in Korea. Field case research was performed using a structured checklist and measurements, from Oct. 28th to Dec. 2nd, 2006. Collected data were analyzed for cognitive efficiency, privacy, safety, supportiveness and amenity. Based on nursing homes for the elderly nationwide (Ministry of Health and Welfare, 2006), we choose 43 facilities in which Seoul and six megalopolis areas that had answered our questionnaire in 2006. We then narrowed the list to 14 facilities, balanced them in terms of regional population. The contents of investigation consisted of eight categories: that general characteristics of the bedrooms (including number of residents per room, using a bed or floor mat, the size and shape of the chamber, space for wheelchair turning, signage), door of bedroom (including door, doorknob, door sill/level difference), windows in the bedroom(including type of window, window sill height, window treatment, window safety device/shape, view/daylight), furniture (including personal furniture and lock), finishes (material, character and color of wall, floor, ceiling), lighting (including types of lighting, night lighting, switch), bathroom in the bedroom (including signage, door size/type, doorknob shape, height of the washbowl, size of toilet bowl, handrail, finishes), and other facilities (including outlet and handrails).

Development of a Model of a Day Care Center for Rural Elderly People (농촌형 노인 주간보호시설 모형개발)

  • Kang, Kyung-Sook
    • Research in Community and Public Health Nursing
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    • v.15 no.4
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    • pp.551-565
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    • 2004
  • Purpose: The purpose of this study is to develop a day care center model focused on public health institutions for the elderly residing in their homes. Method: Research design for this study was a mult-level research, which consisted of a related literature review, an Internet search for knowledge of the current situation at home and abroad, on-site interviews, questionnaires collected from a sample of residents in a rural area, and a key-informants approach. Results: 1) The subjects of service - Generalized service should be provided to the elderly, 65 years and older, regardless of their assets. 2) The contents of service - Providing pre-health oriented and post-social welfare service that can integrate and satisfy a wide variety of public health and welfare needs of the elderly would strengthen the health care service of a day care center for the elderly. 3) Delivery system - Basic-level local self-governments should become a central operating body, and establishing a properly adjusted delivery system to a rural area after considering the efficiency and the access of vulnerable rural areas is needed based on modification of 'a Special Law for Agricultural and Fishery Areas' (rural public health center>rural health sub-center ${\rightarrow}$ unified health sub-center ${\rightarrow}$ public health hospital (public health center) ${\rightarrow}$ public welfare office). 4) Facility - Public health facilities such as public health centers and sub-centers should be located in areas that can easily access the facilities. 5) Funding - For day care center for the elderly in local self-government, the central government should modify a relevant implementation of subsidy in and provide some facilities and service regardless of the degree of self reliance of local self-government. 6) Human resources - It is needed to guarantee the period of workers of a day care center for the elderly, at least 3 to 5 years, with considering their specialty on aged care and avoiding circulation based positions. Furthermore, appropriate specially trained personnel such as medical workers and social workers should be placed to take care of both health service and welfare through strengthening of 'rules of law of elderly welfare,' Conclusion: future research is needed to test the model through a demonstration study using a model which may be developed in the future and to standardize the appraisal criteria of people hoping to enter a day care center for the elderly.

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Non-pharmacological Interventions for Chronic Pain in Older Adults in Long-term Care Facilities: A Scoping Review (장기요양시설 노인의 만성통증 관리를 위한 비약물적 중재: 주제범위 문헌고찰)

  • Kyung-Hye Hwang;Hyekyung Kim;Cho, Ok-Hee
    • Journal of Home Health Care Nursing
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    • v.30 no.3
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    • pp.298-310
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    • 2023
  • Purpose: This study synthesized the literature on non-pharmacological interventions for chronic pain in older adults in long-term care facilities. Methods: Scoping review and thematic analysis methods were combined. On June 1, 2023, searches of primary electronic databases, including PubMed, Embase, PsycINFO, CINAHL DBpia, KMbase, NDSL, and RISS, were performed, restricting the publication date from January 1, 2010 to December 31, 2022. Guidelines from the Joanna Briggs Institute were used as a framework to set and conduct the scoping review. Results: The review identified 1,095 abstracts, from which 14 studies were included in the review. Consequent to the study, there were 10 randomized controlled experimental study designs, and 6 out of 14 studies were conducted in China. The numeric rating scale was widely used for pain assessment. Exercise intervention was provided in 7 studies and physiotherapy was provided in three studies. The outcome variables measured were pain self-efficacy, physical functions, and depression. Conclusion: This comprehensive overview guided nursing staff in long-term care facilities for planning and intervention of effective non-pharmacological interventions for chronic pain in the elderly.

A Study on the Status of Utilization of Health Care Institution by Geriatric Patients -Focus on the Utilization of Physical Therapy- (노인환자 보건의료기관 이용실태 분석)

  • Lee, Jong-Sub;Song, Myung-Soo
    • Journal of agricultural medicine and community health
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    • v.22 no.2
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    • pp.277-293
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    • 1997
  • This study was conducted to provide basic materials required to enforce and develop welfare policies, as well as the health system, for the aged, by surveying the status of health care utilized by the daily increasing old population and the importance of receiving physical therapy. Data that need in this research was gathered from over ages of 65, during the period from Jan 4, 1996 to Jan 31, using the inquiries previously made by geriatric researchers and through literatures investigator by this writer. The data were analyzed by $X^2$, Z-test, Likert scale. The findings were as follows : 1) General characteristics of subjects. People in the age group between 65 and 69 were 55.6% and the highest number, while male were 37% and female 63%. Analysis of income group disclosed 60.6% whose monthly income, including the pocket money given by children, was less than 200,000 won. 91.1% of the elderly people surveyed owned houses; only 36.4% live with spouses; while 15.6% live alone. 2) Characteristics with respect to utilization of health care institution. 56% of the total medical institutions used by the elderly people were clinics and the rates of chronic disease and musculoskeletal disease were 73.2%. 3) Characteristics with respect to approach of health care institution. 45.1% of the respondent stated it took 20 minutes to arrive at hospital, and bus accounted for 48.6% of all transportation means used to go to hospital. 4) Degree of cognition with respect to the rights of geriatric patients. (1) There is no financial support from the government for geriatric patients(71.4%). (2) Government financial support is needed for geriatric patients(95.3%). (3) Have never been regionally surveyed or called upon for interviews with respect to treatment desire and problems relating to geriatric patients(87.2%). (4) Health and medical policies for geriatric patients must be established rapidly(98.4). (5) Expansion and construction of specialized medical facilities for geriatric patients such as elderly hospital and medical center are needed(90.2%). (6) Government's welfare policies for the elderly people is insufficient(82.0%) 5) Degree of cognition on importance of physical therapy with respect to geriatric patient. (1) Physical therapy is considered most effective in treating geriatric patients(82.9%). (2) Physical therapists specializing in only elderly people must be need of separately(76.2%). (3) It is desirable for medical specialists to visit geriatric patients at home to provide physical therapy(82.9%). (4) Hospitals specializing in physical therapy for geriatric patient are required(85.6%). Based on the result for this research, the following suggestions are presented to facilitate the utilization of health care institution for the welfare of geriatric patients. Medical facilities such as elderly hospital and geriatric patient's medical center specializing in elderly people must be constructed as early as possible; and home-visiting physical therapist system must be important to treat chronic geriatric patients; our government must establish policies to provide the old ages with means for the health care and curing chronic diseases, and carry out the plans of reasonable distribution and effective untilization of medical resources.

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